Organization
FRANK L. CONLY
Active
Other names
Family Practice of Renovo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK L. CONLY M.D. (PRESIDENT)
(570) 923-2700
Entity
Organization
Contact information
Practice address
924 HURON AVE, RENOVO, PA 17764-1191
(570) 923-2700
(570) 923-0824
Mailing address
924 HURON AVE, RENOVO, PA 17764-1191
(570) 923-2700
(570) 923-0824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946170004
—
PA
01
—
002954
FIRST PRIORITY HEALTH
PA
01
—
1204
GEISINGER HEALTH PLAN
PA
01
—
188455
BLUE SHIELD
PA
01
—
DD5539
RAILROAD MEDICARE
PA
Enumeration date
10/27/2006
Last updated
07/01/2008
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